Eurotunnel: Payment

John Bercow Excerpts

Monday 4th March 2019 Commons Chamber

[Matt Hancock]

This was, of course, a cross-Government decision, which is why I am here. It is the medicines that will be using that capacity. In the Hancock family, we are very proud of “Hancock’s Half Hour”, and we thought that Tony was a very funny man.

[Mr Speaker]

It is worth pointing out that that Hancock was deliberately funny.

[John Howell (Henley) (Con)]

The Secretary of State has talked about medicines, but there are also prescribed foods—for example, the gluten-free food on which some people depend. What will the situation be for those foods?

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[Douglas Chapman (Dunfermline and West Fife) (SNP)]

rose—

[Mr Speaker]

I call Drew Hendry.

[Drew Hendry]

The streak continues, Mr Speaker.

I am going to be more charitable to the Government, because I think they blatantly realise that having no Secretary of State for Transport is infinitely better than having the one they have got. We have listened to the Secretary of State for Health and Social Care’s fairy tale about medicines today, but will he at least have the decency to admit that £33 million is a lot of money, especially to people facing hardship on universal credit, the disabled and the low-waged?

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[Several hon. Members rose—]

[Mr Speaker]

Points of order are flowing from this urgent question and, exceptionally, I will take them, if they are relatively brief.

[Andy McDonald]

On a point of order, Mr Speaker. I seek your guidance. This is now the second time that I have tabled an urgent question asking the Transport Secretary to come to the House and respond. We are told that he is busy—presumably pouring more money down the drain. Should he not be here, and what can you do to secure his attendance?

While we are at it, will the Secretary of State for Health and Social Care come to the Dispatch Box and explain that he has inadvertently misled the House by saying that this has nothing to do with Seaborne Freight? It has everything to do with that contract. That was the reason Eurotunnel took the Government to court in the first place. He must put the record straight.

[Mr Speaker]

I am grateful to the shadow Secretary of State for his point of order. As he will know, the choice of Minister to respond to an urgent question is exclusively a matter for the Government. For example, it is commonplace for somebody other than the Secretary of State to appear. It is not altogether uncommon for a Department other than that at which the question was tabled to field a representative to respond. I recognise that it is relatively unusual for the Secretary of State in the Department questioned not to appear, and for someone who rejoices in the seniority of Secretary of State in another Department to appear instead, but we should never underestimate the enthusiasm, stoicism and commitment to regular performance in the Chamber of the Secretary of State for Health and Social Care, and he has demonstrated that again this afternoon. Colleagues will form their own assessment of how he has batted at the wicket of the governmental team.

As to what the Secretary of State said about the question not being about Seaborne Freight, I think I will say that he has placed his own interpretation on the matter, and colleagues will form their own assessment. I thought that most of the inquiries were about legal action flowing from the cancellation of the contract, but the Secretary of State does have a legitimate public policy interest in the matter, both as a member of the Government and because of his regard for the safe delivery of medicines. Some people will think that he was absolutely right, and others will think that his interpretation of matters was a tad quirky, but nevertheless he has offered us his own assessment and colleagues can now assess it at leisure, possibly over their tea.

[Layla Moran]

On a point of order, Mr Speaker. In reply to my question, the Secretary of State said:

“I do not know whether she thinks it would have been worth bearing the risk of a court case, which may well have struck down the capacity to make sure that people who have serious and life-threatening conditions can get the medicines that they want. She implied that she was against such assurances”.

I did no such thing, and you were here to hear it, Mr Speaker. I asked very specifically why we no longer have confidence in the legal advice that the permanent secretary herself told the Public Accounts Committee she did have confidence in. I do not take particularly kindly to men putting words in my mouth, so I wonder what recourse I have to get a retraction.

[Mr Speaker]

The hon. Lady has made her point with considerable force and alacrity, and I have no doubt whatever that she is totally sincere, because she came up to the Chair to register her displeasure. I think that the Secretary of State was mildly carried away with the theatricality of the occasion, and he is very accustomed to jousting from the Dispatch Box. Ordinarily I have found him a most good-natured individual, so I think it unlikely—very unlikely indeed—that he would willingly impugn the integrity of a very committed and conscientious Member of Parliament in the hon. Lady, because at heart he is a very gracious chap. He may well wish to proffer an apology to her—[Interruption.]

[Matt Hancock]

Come on then. Further to that point of order, Mr Speaker. The first thing to note following these points of order is that—

[Mr Speaker]

Order. I am not inviting the Secretary of State to give a sort of general response, in the style of a Second Reading debate, to everything that has been said. If he wants to respond in relation to personal offence being taken, he can. That would be appreciated.

[Matt Hancock]

The point I was making, Mr Speaker, which I think I made a few times, is that those who care about having unhindered supply of medicines should vote for the deal, because that is the best way to ensure that people can be kept safe. That is all that I was implying by my comments.

[Mr Speaker]

Well, the Secretary of State has said what he has said, and colleagues will make their own assessment of it. I thank him for coming to the Dispatch Box.

[David Hanson]

On a point of order, Mr Speaker. The Secretary of State said in response to me a moment ago that the Seaborne Freight issue was nothing to do with this contract and the payment of £33 million to Eurotunnel, but it self-evidently and centrally is. Could you give me some advice as to how we can ensure that Ministers at the Dispatch Box who do not have departmental responsibility are better briefed and/or that the real Secretary of State comes to this House to answer legitimate questions on factual matters about which this Secretary of State does not know?

[Mr Speaker]

I think that the right hon. Gentleman’s question was more rhetorical than not, and there was not really a question mark at the end of it. I can only say, for my own part, that when discharging my duties to the best of my ability this morning, I was rather under the impression that the urgent question was about the cancellation of the contract on account of legal action and that it was to do with Seaborne Freight. It may be that my interpretation was notably eccentric, but I do not think so. I think I was pretty clear what it was about, and that my assessment was shared by the team that accompanies me at the 12 o’clock meeting on a Monday morning.

[Matt Hancock]

On a point of order, Mr Speaker. You are an esteemed and eloquent Member of this House, as you often say to us, and you have just made a comment about what this case was about. Can I be very clear? The reason we settled this case, as I said to the hon. Member for Middlesbrough (Andy McDonald), was to ensure that the freight capacity purchased from DFDS and Brittany Ferries continues, in order to have the unhindered supply of medicines. That is what the settlement was a about.

[Mr Speaker]

No, no—I am not arguing the toss with the Secretary of State. I said earlier that he placed his own interpretation on what he judged to be the gravamen of the matter. That the question was about the cancellation of the contract and that it was about Seaborne Freight is, I think, so manifestly clear as to brook no contradiction by any sensible person. That it also related to the delivery of medicines is a perfectly arguable point. The Secretary of State has made his own point in his own way, and if he is satisfied with his own efforts and goes about his business with an additional glint in his eye and spring in his step, then I am very happy for him.

[Alan Brown (Kilmarnock and Loudoun) (SNP)]

Further to those points of order, Mr Speaker. You take pride in being a Speaker who is very generous in allowing urgent questions to be asked. The whole reason for urgent questions is so that parliamentarians, particularly Back Benchers, can hold the Government to account. It is quite clearly frustrating today that, yet again, the Transport Secretary, who is culpable for this mess, has not come to answer the questions. We have a stand-in Health Minister who has parroted two lines in response to every question that has been asked: first, “This is about medicines”; and secondly, “If you don’t like it, back the deal.” That is palpable nonsense, and it makes a mockery of urgent questions that are to hold the Government to account. I also know that, as a parliamentarian, if I submit written parliamentary questions on this scenario, the answers will come back saying “commercial confidentiality”, and I will not get any clear information. I am asking for guidance, Mr Speaker, on how we get real information out of this Government when they are trying to shroud everything in secrecy.

[Mr Speaker]

On the matter of secrecy, the Government will make their own judgment about what constitutes commercial confidentiality, and every Government are entitled to do that. More widely, I would say to the hon. Gentleman that he has a number of recourses. He has, potentially, access to freedom of information legislation like any citizen. As for as the business of the House, it is open to him and to others to table written questions—not necessarily an isolated question but potentially a series or, if necessary, several series of questions. It is open to Members to put oral questions to Ministers. It is open to them to apply, as happened today, for an urgent question. It is open to them also to seek debates under the auspices of the Backbench Business Committee or, in certain circumstances that commend themselves to the Chair, under the terms of Standing Order No. 24.

I understand that the hon. Gentleman—I mean this very sincerely and, not least, for the benefit of those who are listening to our proceedings—is disquieted, not to say irritated. However, I suppose I am making the point that I have often made to Members on both sides of the House, including, some months ago, to the hon. Member for South Leicestershire (Alberto Costa), who very sagely took my advice last week: persist, persist, persist. That is the essence of success in parliamentary endeavour—not to make a point once but to pursue one’s goal on a continued, indefatigable, and, if necessary, remorseless basis. I think that the hon. Member for Kilmarnock and Loudoun (Alan Brown) has become accustomed to such an approach over the past four years in which he has served as a Member of the House.

I thank the Members who have raised points of order and the Secretary of State for proffering his replies. We will have to leave it there for today.

Oral Answers to Questions

John Bercow Excerpts

Tuesday 19th February 2019 Commons Chamber

[Several hon. Members rose—]

[Mr Speaker]

Order. Before we proceed further, I hope that colleagues on both sides of the House will want to join me in extending a very warm welcome to Democratic New York State Assemblyman Sean Ryan, who is with us today. Welcome to you, Sir: we are delighted to have you.

[Jeremy Lefroy (Stafford) (Con)]

2. What steps he is taking to secure the long-term future of the NHS.

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[Several hon. Members rose—]

[Mr Speaker]

Young Bridgen was a bit slow to stand but, now that I have seen him, let us hear from the fellow.

[Andrew Bridgen (North West Leicestershire) (Con)]

Will the Minister join me in welcoming the work of UK researchers to develop a new protocol for managing asthma, such as a pill to reduce the number of attacks by targeting airway muscles, developed in partnership with researchers in Canada?

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[The Parliamentary Under-Secretary of State for Health and Social Care (Jackie Doyle-Price)]

Under the NHS long-term plan, there will be a comprehensive expansion of mental health services, with at least an additional £2.3 billion in real terms by 2023-24. That builds on our ambitious targets for improving community and crisis care, with extra treatment for 370,000 adults per year, and for 345,000 children and young people by 2023.

[Mr Speaker]

Yes, but I think that the Minister is seeking to group this question with that of the hon. Member for Ochil and South Perthshire (Luke Graham). Am I right?

[Jackie Doyle-Price]

Yes, indeed. My apologies Mr Speaker.

[Mr Speaker]

I would not want the hon. Gentleman to feel any sense of social exclusion.

[Craig Mackinlay]

One of my constituents, Mark Verrion, is a patient of Kent and Medway NHS and Social Care Partnership Trust. He was first admitted on a temporary basis following an unfortunate but mild episode. He has now been institutionalised for 11 years, and he has been moved over 100 times during that period, often out of area. The trust has 289 out-of-area placements for adult mental health services, which is an increase of 100 over the past year, and the cost to local health budgets is obvious. Does my hon. Friend agree that my constituent and all the other out-of-area patients deserve local health provision to enable them to remain within the trust area?

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[Caroline Dinenage]

I understand that my right hon. Friend the Secretary of State has met the gentleman my hon. Friend refers to. I understand and share my hon. Friend’s frustration. We need to ensure that the social care system is sustainable in the long term and we have taken some time to get these big decisions right, but I can assure him that the Green Paper will be published at the earliest opportunity.

[Mr Speaker]

Order. The hon. Member for Blackburn (Kate Hollern) could very legitimately shoehorn her inquiry on question 18, which might not be reached, into this question, which has been. It is not obligatory, but don’t be shy—get in there.

[Kate Hollern (Blackburn) (Lab)]

18. Perhaps the Minister can respond about her failings with regard to Government cuts and local government, and particularly the impact on social care, because the Government have created a postcode lottery on the quality of care that residents face, particularly in Blackburn. The Secretary of State spoke about political nonsense to my hon. Friend the Member for Wallasey (Ms Eagle). What is a political nonsense is that Blackburn has faced a 60% funding cut from this Government, whereas Windsor and Maidenhead has had only a 19% cut. The Government are creating a postcode lottery for adult social care in particular, and it is not acceptable. What is the Minister going to do address the inequalities between areas?

[Mr Speaker]

Nobody can accuse the hon. Lady of failing to take full advantage of my generosity.

[Caroline Dinenage]

I do not agree with the hon. Lady. What the Government have done is try to tackle the geographical inequalities in care across the country. We have increased councils’ access to funding by up to £10 billion. That is a 9% real-terms increase in funding, but in addition to that, we have established a national threshold that defines the care needs that local authorities must meet under the Care Act. That has really started the work of eliminating the eligibility postcode lottery across England.

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[Stephen Hammond]

I am sure the hon. Gentleman will want to recognise the latest UCAS data for this year’s application cycle, which shows that, compared to the same time last year, there has been a 4.5% increase in the number of applicants for undergraduate nursing and midwifery courses. This is a significant improvement. He will also want to recognise that the loans system provides an extra £1,000. [Interruption.]

[Mr Speaker]

Order. Mr Luke Graham, calm yourself. You aspire to statesmanship, and I wish to cultivate and hone that legitimate aspiration—calm, Zen, statesmanship!

[Derek Thomas (St Ives) (Con)]

On Friday, I was privileged to take part in the launch of the health and social care academy in Cornwall. Cornwall NHS and social care providers have come together to train local students, including mature students, within the local health and social care provision without student tuition fees so that they can secure a job in Cornwall. May I invite the Minister to come and see the work we are doing and welcome this local innovation that is helping to address the NHS workforce challenge?

Mental Capacity (Amendment) Bill [Lords]

John Bercow Excerpts

3rd reading: House of Commons & Report stage: House of Commons
Tuesday 12th February 2019 Commons Chamber

This amendment is to make it clear that arrangements can be authorised under the new Schedule AA1 if there are no “mental health requirements” that apply in relation to the person who is to be subject to the arrangements.—(Caroline Dinenage.)

[Mr Speaker]

Consideration completed. Colleagues, I will now suspend the House for no more than five minutes in order to make a decision about certification. The Division bells will be rung two minutes before the House resumes. Following my certification, the Government will table the appropriate consent motion, copies of which will be made available in the Vote Office and will be distributed by Doorkeepers.

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On resuming—

[Mr Speaker]

I can now inform the House that I have completed certification of the Bill, as required by the Standing Order. I have confirmed the view expressed in my provisional certificate issued on 11 February. Copies of my final certificate will be made available in the Vote Office and on the parliamentary website.

Under Standing Order No. 83M, a consent motion is therefore required for the Bill to proceed. Copies of the motion are available in the Vote Office and on the parliamentary website and have been made available to Members in the Chamber. Does the Minister intend to move the consent motion?

[Caroline Dinenage]

indicated assent.

The House forthwith resolved itself into the Legislative Grand Committee (England and Wales) (Standing Order No. 83M).

[Dame Eleanor Laing in the Chair]

Oral Answers to Questions

John Bercow Excerpts

Tuesday 15th January 2019 Commons Chamber

[Matt Hancock]

Because of the votes of most of us in the House, including the hon. Gentleman, no deal of course is the law of the land unless the House passes something else. He is a reasonable man. He is a mentor of the old Blairite moderate wing of his party. He is absolutely a centrist. I do not believe that, privately, he believes in the hard-left guff that comes from other Opposition Front Benchers. He is a very sensible man and I like him an awful lot, so after this session and before 7 o’clock tonight, why does he not take a look in the mirror and ask himself, “In the national interest, is it best to vote for the deal and avoid no deal, or is it best to play politics?”

[Mr Speaker]

Order. Let me say very gently to the Secretary of State, who is renowned for his charm in all parts of the House, that his likes and dislikes are a matter of immense fascination to colleagues, including the Chair, but what is of greater interest is his brevity.

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[Steve Brine]

We commissioned the National Institute for Health and Care Excellence to produce further guidance that should be out by October. Doctors are right to be cautious when the evidence base remains limited and further research in this area is vital. The change to the law will facilitate that. The National Institute for Health Research has called for research proposals to enhance our knowledge in the area and I think that that is absolutely right.

[Mr Speaker]

I call Alistair Carmichael. Where is the fellow? I hope that he is not in Orkney and Shetland because that would be a pity. Never mind, I am sure that we will see him ere long.

[Mr William Wragg (Hazel Grove) (Con)]

6. What steps he is taking to improve and upgrade NHS facilities.

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[Matt Hancock]

Yes, absolutely. We support nursing associates and I am delighted to see the rapid expansion that is taking place. We want more universities and higher education institutes to come to the fore to provide that sort of education. I cannot wait to meet my hon. Friend.

[Mr Speaker]

Including, of course, as the right hon. Gentleman knows from his recent meeting with me, the University of Buckingham in my constituency.

[Seema Malhotra (Feltham and Heston) (Lab/Co-op)]

One of my constituents, who is 17, seriously ill with breathing difficulties and in need of urgent specialist care, is waiting for a room to be available at the Royal Brompton. Is the Secretary of State aware of any delays and whether these have been caused by not having sufficient NHS facilities at the Royal Brompton to meet such urgent demand?

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[The Minister for Health (Stephen Hammond)]

Our policies have allowed the NHS to recruit over 13,400 more nurses into all wards since 2010. Additionally, we have increased the number of available nurse training places, offering new routes into the profession and encouraging those who have left nursing to return to practice, alongside retaining more of the staff that we have now.

With your permission, Mr Speaker, I was so enthusiastic about the number of extra staff in the national health service, I might have inadvertently misled my hon. Friend the Member for Banbury (Victoria Prentis): it is 500 obs and gynae doctors since 2010.

[Mr Speaker]

In calling the hon. Member for Lincoln, I congratulate her on her birthday.

[Karen Lee]

You are very kind, Mr Speaker. The latest Care Quality Commission report on Lincoln County Hospital found sufficient nursing staff on only four of the 28 days reviewed and a heavy reliance on agency staff. As people know, I was a cardiac nurse for 12 years, and I can tell the House that agency nurses are expensive and create extra work—often they cannot do IVs and they are not familiar with paperwork, so the regular nurses end up doing half their jobs for them. Will the Secretary of State explain to the House why the NHS long-term plan has no policy on effectively tackling understaffing and no mention of reinstating the nursing bursary, which enabled nurses like me to train?

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[Steve Brine]

Yes, I do. I was fortunate enough to visit Southend pier before Christmas to talk to Jamie and Jimmy about this. Nutrition training and the understanding of what is involved in achieving and maintaining a healthy weight varies between medical schools. Some courses have only eight hours over what can be a five or six-year degree. Together with the professional bodies and the universities, we will—as we said in the long-term plan—ensure that nutrition has a greater place in professional education training.

[Mr Speaker]

We are all very impressed by how well connected the Minister is. He is obviously on first-name terms with these illustrious individuals—[Interruption.] Indeed, I am sure they are thrilled to befriend the Minister—no reason to doubt it.

[Alison Thewliss (Glasgow Central) (SNP)]

Scotland’s childhood obesity plan recognises breastfeeding as the best start to life for babies. Will he look at that in his plans and ensure that the support is available to allow women to breastfeed for as long as they wish to?

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[Several hon. Members rose—]

[Mr Speaker]

Order. We are running late, but I do not think Health questions would be complete without the right hon. Member for North Norfolk (Norman Lamb).

[Norman Lamb (North Norfolk) (LD)]

20. What assessment he has made of the effect of changes to local authority public health budgets in 2019-20 on his Department’s ability to achieve its “Prevention is better than cure” vision.

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[Stephen Hammond]

Departmental officials have worked alongside the council to engage with Shaw Healthcare to identify the causes and explore the solutions to minimise the number of empty beds under the PFI. Through improved contract management and regular meetings with Shaw, significant improvements are being made, and contract changes are under discussion to further improve performance. This aligns with the Department’s best practice centre for PFI contracts, as the Chancellor announced in the Budget—

[Mr Speaker]

Order. I appreciate the natural courtesy of the Minister in looking in the direction of the person questioning him, but the House wants the benefit of his mellifluous tones, so he should face the House. We are grateful to him.

[Helen Goodman (Bishop Auckland) (Lab)]

T2. The closure of ward 6 at Bishop Auckland Hospital will mean the loss of 24 beds, which is why 14,000 people have signed a petition to keep it. Will the Minister now step in to ensure that we keep ward 6?

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[Mr Speaker]

Order. I was going to call Mr Skinner, who I thought was perched a moment ago.

[Mr Dennis Skinner (Bolsover) (Lab)]

rose—

[Mr Speaker]

He is perched again; in fact he is more than perched.

[Mr Skinner]

The Secretary of State has been very fond today of talking about the long-term plan. I am 86 years of age, and the reason I am able to ask this question is because under Labour—is he listening?—the money that went in was trebled from £33 billion to £100 billion, an increase of £67 billion. That is why I am still here: I had my operation for cancer, and it was successful; I had an operation for a bypass, and it was successful; and I had a hip replacement, and I can still walk backwards. That is the Labour story—just remember it!

[Matt Hancock]

rose—

[Mr Speaker]

Order. Before the Secretary of State responds, let me say that the ferocity and eloquence of the hon. Member for Bolsover (Mr Skinner) are legendary, but all he is really telling us is what the Chair already knew, namely that the hon. Gentleman is indestructible.

[Matt Hancock]

The hon. Member for Bolsover (Mr Skinner) and I both come from Nottinghamshire mining stock, and we both support the NHS, which was first proposed from this Dispatch Box by a Conservative Minister under a Conservative Prime Minister, and has been presided over by a Conservative Secretary of State for most of its life. I am delighted that those operations, including under a Conservative-led Administration, kept the hon. Gentleman ticking, because what an adornment he is—I look forward to voting with him this evening.

[Several hon. Members rose—]

[Mr Speaker]

Order. As I am often moved to observe at Health questions, demand tends to exceed supply, as in the health service under whichever Government, but we must now move on.

NHS Long-term Plan

John Bercow Excerpts

Monday 7th January 2019 Commons Chamber

[Several hon. Members rose—]

[Mr Speaker]

A very large number of right hon. and hon. Members are seeking to catch my eye. The Secretary of State is attending to the questions put to him in his usual courteous fashion, and I think that is respected. However, I gently point out to the House that this is the first of three ministerial statements today and that there is then further substantive business with which we want to make progress, so I gently encourage colleagues to be economical.

[Meg Hillier (Hackney South and Shoreditch) (Lab/Co-op)]

I am heartened that Baroness Harding is looking at the staffing side of things, but she does have a mountain to climb. Let me remind the Secretary of State that the last time the NHS went out to recruit GPs, it ended up with fewer GPs at the end of the year than it had had before. That is not to mention the pension cap put in place by his former mentor—or maybe his current mentor—the former Chancellor, which now means that there is a problem with the retention of senior clinical staff. We can add to that list the immigration rules and pay ceiling. Is the Secretary of State lobbying the Home Office and the Treasury, particularly to deal with the £30,000 cap and the pension cap?

Oral Answers to Questions

John Bercow Excerpts

Tuesday 27th November 2018 Commons Chamber

[Michael Fabricant (Lichfield) (Con)]

In France, where head lice are more common per capita than in the UK, people make good use of pharmacies, because it costs money to visit a general practitioner and because the state promotes the role of pharmacies. May I therefore ask the Minister why do we not advertise that we should be using pharmacies more often than not, instead of going to a GP?

[Mr Speaker]

Unfortunately, that has nothing to do with the matter of head lice. [Interruption.] It seemed to be slightly tangential, but never mind. The hon. Gentleman was at least attempting to shoehorn his preoccupation into the question, but I will err on the side of generosity. I know that he knows all about heads and all about hair—

[Michael Fabricant]

But not lice!

[Mr Speaker]

Indeed.

[Steve Brine]

I do not know whether my hon. Friend is familiar with wet combing his hair.

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[Mr Barry Sheerman (Huddersfield) (Lab/Co-op)]

rose—

[Mr Speaker]

Is the hon. Gentleman feeling jumpy or does he wish to contribute?

[Mr Sheerman]

I was just nit-picking.

[Mr Speaker]

Ah, the House is in a very jocular mood. Long may it last.

[Steve Brine]

It will soon be Christmas.

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[Steve Brine]

I know that Opposition Members like to pretend that the past eight and a half years did not have to happen, but there is a reason why they had to happen—the economy was crashed—and eight and a half years is not a long time to clear up the mess of the last Government. But we are very clear, as the hon. Gentleman should know, that a focus on prevention will be central to the long-term plan. He mentions child obesity—[Interruption.] Opposition Members may wish to listen. The public health grant remains ring-fenced and protected for use exclusively on improving health, but local government spending on health is not just about the public health grant. The Government spend money on many other things, including around the child obesity plan and vaccinations, and that is all around prevention and public health.

[Mr Speaker]

Far too long.

[Mr Philip Hollobone (Kettering) (Con)]

As local government is reorganised in Northamptonshire ahead of May 2020, will the Minister consider whether it may not be appropriate in all cases for local councils to manage public health budgets, and whether in some cases it might make sense for the NHS to regain control?

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[Robert Halfon]

CLIC Sargent, the charity for children with cancer, has shown that families in my constituency with children with cancer can face a 54-mile round trip to get to their nearest treatment location, which can cost them up to £161.58 a month. Families are incurring thousands of pounds of debt paying for parking and driving their children to their cancer treatment. Does my hon. Friend acknowledge that only 6% of parents of children with cancer are reported as having received financial help from the NHS healthcare travel costs assistance scheme? Does he recognise that the scheme is not designed to meet the needs of children and young people who need highly specialised treatment—

[Mr Speaker]

Order. Far too long.

[Steve Brine]

Yes, we do recognise that there is a challenge there. I gave evidence to the all-party parliamentary group on children, teenagers and young adults with cancer, and I have a copy of the “Listen Up” report here. CLIC Sargent is part of the secretariat for that group. We are looking at this issue through the long-term plan, and I look forward to meeting my right hon. Friend along with CLIC Sargent in the next few weeks as planned.

[Mr Speaker]

An exemplar of eloquent brevity: Helen Jones.

[Helen Jones (Warrington North) (Lab)]

Access to services is very important for those in the poorest areas of my constituency. Warrington Hospital has been losing services over time, but it has now sought to become a cancer hub for north Cheshire. Will the Minister ensure that, in the case of such applications, access to services for the poorest people is considered along with other factors?

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[Jamie Stone (Caithness, Sutherland and Easter Ross) (LD)]

The usage of Caithness General Hospital in Wick in my constituency is way below what it was originally designed for, causing my constituents great anxiety if they have to travel over 200 miles to Inverness and back. Mr Speaker, you will tell me that such matters are devolved, so will the Government share best practice on community hospitals with the Scottish Government and NHS Highland?

[Mr Speaker]

What a wily fellow to get the question in order. Well done, man.

[Caroline Dinenage]

I am happy to work with our colleagues in Scotland to push forward best practice in helping to support community facilities and to ensure that they are investing in facilities at the heart of people’s local areas, which is where they are needed.

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[Stephen Hammond]

The hon. Gentleman will know that the Government are committed to having more nurses and more staff in training, that we are putting in place extra measures to ensure that specialities are supported through that training process and that the extra £20 billion in the long-term plan will ensure that there are the staff and nurses needed to fill those vacancies.

[Mr Speaker]

We are running over time, so very briefly, please, Dr Philippa Whitford.

[Dr Philippa Whitford (Central Ayrshire) (SNP)]

Last week, the Secretary of State claimed that the number of GPs in England had increased by more than 1,000 from June to September, when the data actually showed a drop of 10 full-time equivalent doctors. In 2015, his predecessor promised an extra 5,000 GPs by 2020, but so far there are 1,000 fewer, so how does the Secretary of State plan to meet that target in just the next year?

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[Anna Soubry (Broxtowe) (Con)]

rose—

[Mr Speaker]

I will call the right hon. Lady on the condition that she can ask her question in one relatively brief sentence. [Interruption.] No? Go on, you can do it.

[Anna Soubry]

Many people say that the much-heralded £20 billion extra for the NHS is some sort of Brexit dividend. In the event that our country remains in the European Union, will the Secretary of State confirm that that extra 3.4% a year will continue and that £20 billion will be made available to our NHS?

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[The Parliamentary Under-Secretary of State for Health and Social Care (Steve Brine)]

The Prime Minister will set out our ambition that three quarters of all cancers will be diagnosed early, up from just half today. Our cancer survival figures are our best ever, but we do not have world-class outcomes yet, as we must and want to. That is why early diagnosis will be absolutely at the heart of the NHS long-term plan—for instance, in radically overhauling the screening programmes that the Secretary of State mentioned earlier.

[Mr Speaker]

I do slightly worry about the staying power of some colleagues. I will not say who, because it would be unkind, but there was a Member I was about to call who has beetled out of the Chamber. People have got to be a bit patient.

[Mrs Emma Lewell-Buck (South Shields) (Lab)]

South Tyneside District Hospital recently surpassed targets for waiting times, yet this Government’s forced cuts under the guise of sustainability and transformation plans have left my constituents fundraising to fight the downgrading of key services in court next month. Why is the Secretary of State presiding over this destruction by stealth of our high-performing hospital and the NHS?

--- Later in debate ---

[Several hon. Members rose—]

[Mr Speaker]

Order. I am sorry, but we must now move on.

Gosport Independent Panel

John Bercow Excerpts

Wednesday 21st November 2018 Commons Chamber

[Several hon. Members rose—]

[Mr Speaker]

Order. I always listen to all of my colleagues with equal doses of respect and affection, but I am moved to observe as we approach the festive season that it would probably be a good idea for the right hon. Member for New Forest West (Sir Desmond Swayne) to send copies of his textbook on succinct questions as Christmas presents to all colleagues.

[Mr Philip Dunne (Ludlow) (Con)]

I join the cross-party support for my right hon. Friend’s statement and add my voice in commending the dedication and commitment of Bishop James Jones, who, I am pleased to say, is I think in the Chamber listening to the Government response to his report.

I am a great supporter of the National Guardian’s Office and the “freedom to speak up” guardians; in fact I am such a strong supporter that I wear its lanyard around my neck and have done ever since I was in the Health Department. But a number of people who make complaints either do not yet have sufficient confidence in these guardians or feel that their complaints are not properly addressed. There are however good examples of best practice, where some chief executives of trusts have a regular, routine meeting with guardians to make sure that complaints are brought directly to their attention. Will my right hon. Friend work with the senior leaders across the NHS and the National Guardian’s Office to ensure that best practice is used so we can give the most possible confidence to people with concerns about safety?

Assessment and Treatment Units: Vulnerable People

John Bercow Excerpts

Tuesday 6th November 2018 Commons Chamber

[Several hon. Members rose—]

[Mr Speaker]

Order. I remind the House that this question must finish no later than 1.45 pm, and if people have not got in by then, I am afraid that it is too bad.

[Barbara Keeley]

I want to put on record my disappointment that the Secretary of State tried to shoehorn an issue of this severity into an NHS policy announcement yesterday, and my thanks to you, Mr Speaker, for allowing this urgent question.

The treatment of people with autism and learning disabilities in assessment and treatment units is nothing short of a national scandal. Six years ago, these units were described by the then chief executive of NHS England and the chief executive of the Care Quality Commission as a model of care that has

“no place in the 21st century”.

Seven years after the Winterbourne View scandal, the Government have not rid the country of these units or substantially cut their use. Indeed, as the Minister said, there are still 2,315 people in assessment and treatment units, including 230 children, and the number of under-18s has been increasing.

A Sky News investigation last week revealed that, since 2015, at least 40 people with a learning disability or autism have died while in assessment and treatment units, and nine of those who died were aged 35 or under. Some of the country’s most vulnerable people are being exposed to physical abuse in institutions that the chief inspector of mental health services described as being

“in danger of developing the same characteristics that Winterbourne View did.”

Can the Minister tell us why the NHS is still sanctioning the use of settings that expose thousands of vulnerable people to abuse, at a cost of half a billion pounds, despite the Government pledging to close them?

The transforming care programme has manifestly failed. What are the Government going to do to ensure funding is available for cash-strapped local councils to pay for community placements with care support for autistic people and people with a learning disability? The Times has revealed that the private companies running these units are making millions of pounds out of detaining vulnerable people in unsafe facilities, in one case funnelling £25 million into a secret bank account in Belize. Can the Minister tell us what the Government are doing to immediately stop private companies that have a vested interest in keeping people with learning disabilities in these Bedlam-like conditions from doing that?

On Saturday, as the Minister has outlined, the Secretary of State ordered the Care Quality Commission to undertake a thematic review of assessment and treatment units, and he has ordered a serious incident review in the case of one young autistic woman, Bethany. Reviews are not urgent action, there are very many Bethanys trapped in seclusion, and 40 people have died in these units. Will the Minister tell us the timetable for the completion and publication of the CQC review and what urgent action can be taken to free all the young people and adults trapped in these appalling conditions?

--- Later in debate ---

[Several hon. Members rose—]

[Mr Speaker]

Order. The sitting is suspended until 3.15 pm, so that Members can attend the Remembrance service in St Margaret’s Church.

Prevention of Ill Health: Government Vision

John Bercow Excerpts

Monday 5th November 2018 Commons Chamber

[Several hon. Members rose—]

[Mr Speaker]

I am grateful to the Secretary of State for what he has just said. A lot of Members wish to take part in this exchange, but I remind the House that there are two debates to follow. The Government have chosen to put on two ministerial statements, which is entirely their prerogative. Naturally, people do then tend to stand to ask questions, as that is what we do here, but I have also to protect the subsequent business. I therefore politely say to colleagues: if you have a long question in mind, cut it or do not bother. That would be really helpful. Let us start with the Chair of the Select Committee, Dr Sarah Wollaston.

[Dr Sarah Wollaston (Totnes) (Con)]

In the Secretary of State’s vision for prevention he rightly points out that £14 of social benefit accrues from every £1 spent in public health. Therefore it is going to be much more challenging for him to deliver on his objectives if there is a further transfer from the public health budgets into NHS England budgets. However, I recognise that this requires action across all Departments, so will he set out what he is going to do to encourage cross-government action on physical activity, because we all know that that is a vital part of public health and prevention?

--- Later in debate ---

[Several hon. Members rose—]

[Mr Speaker]

Order. The Chair will be keen to move on to the main business at 6 o’clock, or very close thereto, so if people have questions in mind, will they think about how they can shave them?

[Bim Afolami (Hitchin and Harpenden) (Con)]

I welcome the Secretary of State’s statement. Will he outline what his views are for community pharmacy as part of the strategy of prevention?

--- Later in debate ---

[Matt Hancock]

I will actually be in Derbyshire later this month visiting a neighbouring constituency, but it looks like I have just put another stop on the itinerary.

[Mr Speaker]

I am quite certain that the Secretary of State will want to visit the hon. Lady’s constituency.

[Christian Matheson (City of Chester) (Lab)]

I welcome the focus on prevention. Of course, the next best thing is early diagnosis. Will the Secretary of State look again and remove the arbitrary age limit of 25 for women’s smear tests?

Budget Resolutions

John Bercow Excerpts

Tuesday 30th October 2018 Commons Chamber

[John McDonnell]

I have given way to the hon. Gentleman once.

Many have taken their own lives as a result of the welfare reforms imposed upon them since 2010, and the Government—[Interruption.]

[Mr Speaker]

Order. I apologise for interrupting the right hon. Gentleman. The hon. Member for Croydon South (Chris Philp) has made his point with force and alacrity, but he should not witter from a sedentary position, engaged in an animated conversation with a Member on the opposite Benches. The same goes for Members on both sides of the House. The shadow Chancellor has addressed the House, as in my experience he invariably does, with considerable courtesy. Whatever people think of what is being said, they should extend courtesy to the Front-Bench speakers, as they should to Back-Bench speakers.

[John McDonnell]

I understand the hon. Member for Croydon South (Chris Philp); he gets excited at times, but as someone who has been excited myself at times, I completely understand.

The Government have been repeatedly forced by the courts to change how they are treating disabled people. They do not seem to have learned their lesson yet, so yesterday we saw no restoration of disability premiums, no end to the cruel social security freeze, and no end to dehumanising and unreliable work capability assessments.

The Government are also putting the livelihoods of future generations at risk. A few weeks ago the world’s leading authority on climate change said that avoiding dangerous climate change would require “rapid, far-reaching and unprecedented” action. What did we get yesterday? We got no mention of climate change, no reversal of cuts to renewable energy, and no significant environmental policy.